| NPI | 1588739106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30004116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA RN00122724) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-12-04 |